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Vaping: What Every Parent and Teen Should Know

By: Dr. Elizabeth Eggert

Most teenagers are averse to the taste and smell of cigarettes, and we’ve seen a sharp decline in cigarette use among teens in recent decades (it’s helped that smoking cigarettes has fallen “out of style”). However, the lure of smoking is still just as strong as it was in the 20th century – it just looks a little different.

E-cigarettes or “vapes” are electronic devices that heat nicotine and disperse it as an aerosol. There is no smoke or tobacco involved, so many teenagers have been led to believe that vaping isn’t as bad for you.

Regardless of whether or not they realize it, the #1 problem of vaping is still the exact same as smoking: Nicotine is one of the most addictive chemicals on the planet.

At Eggert Family Dentistry, our patient’s health and well-being are our top priority, and we are here to support you in any way we can. Here’s what you and your teenager need to know about vaping.

Who’s Vaping and Why?

A 2022 study released by the U.S. Food and Drug Administration (FDA) and the U.S. Centers for Disease Control and Prevention (CDC) found that 2.55 million U.S. middle and high school students reported current e-cigarette use in 2022. That number represents 14.1% of high school students and 3.3% of middle school students.

Students vape because of three main reasons:

Many teens believe vaping is less harmful than smoking.
E-cigarettes have a lower per-use cost than traditional cigarettes.
Youths and adults find the lack of smoke appealing. With no smell, e-cigarettes reduce some of the stigma of smoking.

It’s true that vaping is thought to be less harmful to the lungs than inhaling smoke, however, research is still being done and due to all the chemicals involved with e-cigarettes, the evidence isn’t clear. However, if this is the reason your teen cites to defend their vaping addiction, tell them that it’s also true that knives are less harmful than guns. That said, we still wouldn’t want to be faced with either.

Additionally, nicotine as an aerosol comes with its own serious health risks — not only does the vapor contain a known pesticide, but there are hundreds of chemicals present in aerosols that have yet to be identified. We don’t yet know all the side effects and risks.

Side Effects and Dangers of Vaping

What we know for sure is that E-cigarettes contain harmful chemicals such as:

Formaldehyde, which is known to cause cancer.
Acrolein which is used as a weed killer and can cause irreversible lung damage.
Flavorants such as diacetyl, a chemical linked to serious lung disease.
Volatile organic compounds such as benzene, which is found in car exhaust.
Heavy metals, such as nickel, tin, and lead.
Nicotine, which is highly addictive and damaging to the brain.

Just like smoking, there are two sets of side effects when it comes to vaping. One category of side effects has to do with the physical act of inhaling chemicals/vapor into the lungs (vaping). The other category has to do with becoming a nicotine addict.

Side Effects of Vaping:

Because vaping is relatively new, researchers don’t yet know all the effects vaping can have on your body. What we do know, though, is alarming enough:

Difficulty Breathing: The particles you inhale while vaping can cause inflammation (swelling) and irritation in your lungs, making it harder to catch your breath.
Asthma: Vaping can make you more likely to get asthma and other lung conditions. It can also make your existing asthma worse.
Lung Scarring: Diacetyl, a chemical used in some flavorings, can cause bronchiolitis obliterans (“popcorn lung”). Bronchiolitis obliterans causes permanent scarring in your lungs. That means that even if someone quits vaping, the negative effects of it will be with them for the rest of their lives.

Side Effects of Being a Nicotine Addict:

Any addictive substance is going to cause harm, but nicotine addiction can be especially harmful.

Nicotine Dependency: When you start vaping, it only takes a few days of consistent use before your brain starts to rely on the presence of nicotine in order to feel normal. Without a constant supply, nicotine addicts go into withdrawal and feel anxious, stressed, unsettled, irritable, and fidgety.
Inability to Focus: Nicotine is the one of the most addictive chemicals on the planet because it enters and leaves your system quickly, which is why smokers and vapers feel the need to smoke/vape every 20 minutes or so. This makes it noticeably more difficult to focus for prolonged periods of time. Whether you’re writing an essay, taking a test, drawing a picture, relaxing with friends, or watching a movie, so long as you are still vaping, your addiction will always make you feel the need to vape.
Increased Anxiety: The popular belief is that smoking and vaping can calm you down. Researchers know that the exact opposite is true: Nicotine spikes your heart rate and blood pressure, which is directly responsible for increasing anxiety.
Other Mood Disorders: Several studies have also found that nicotine addiction during adolescence is also associated with a higher risk of developing mental and behavioral problems during adulthood, including: major depressive disorder, agoraphobia, and panic disorder.

How Vaping Affects Your Oral Health

Nicotine, whether smoked or vaped, restricts blood flow to the gums, which can contribute to gum disease. The fluid in e-cigarettes only increases the risks. Other ways that nicotine and aerosol can harm your oral health include:

Dry mouth: Nicotine in e-liquid inhibits saliva production which leads to dry mouth. When your mouth is dry, it’s a perfect habitat for bacteria which can lead to tooth decay.

Damage to soft tissue/enamel: Propylene glycol is used as a carrier ingredient in e-liquid, propylene glycol has toxic effects on soft tissue and enamel. Additionally, e-liquid flavorings when added to vegetable glycerin cause a 27% decrease in the hardness and integrity of tooth enamel.

Receding Gums: Continued nicotine exposure causes reduced blood flow which can cause gum tissue to die and recede, exposing more of the tooth.

Tooth Decay/Loss: Exposed gums leads to tooth sensitivity, an increase in cavities, and in some cases, tooth loss.

The Bottom Line

Even if you believe your child would never use e-cigarettes or vapes, it’s important to talk to your teenager about vaping. Even those teens who manage to avoid peer pressure are still going to be exposed to vaping at some point in their lives. It’s important to make sure your child is prepared with the right information to make the correct decision.

Questions About Vaping and Your Oral Health?

Vaping poses significant risks to your oral and overall health. If you or a loved one are struggling to quit vaping or have any concerns about its effects on your oral health, please don’t hesitate to reach out to us at Eggert Family Dentistry. Dr. Jeff Eggert and Dr. Elizabeth Eggert are committed to providing comprehensive dental care to our patients and are happy to answer any questions you may have. Give us a call at 651-482-8412 to schedule an appointment today, or to learn more about how we can help you and your teen maintain a healthy, beautiful smile.

Quitting Smoking: Health Effects of Smoking and Cessation Resources

By: Dr. Elizabeth Eggert

Smoking is a dangerous habit that can have severe effects on both your overall health and oral health. This is something that research has proven time and time again — and it’s something that the majority of smokers already know.

However, many people are still unaware of the sheer range of problems that smoking can cause. In this blog, we’re taking a look at these health problems, as well as addressing how and why smokers can quit.

While we believe it’s important to inform our patients, we also understand that frightening health facts don’t often help smokers quit. So, if you are considering quitting smoking, but are still on the fence, we encourage you to skip the health section for now, and simply scroll down to our “Why Quit” section, where we discuss the reasons smokers believe they need to smoke. At the end of this article, we also provide you with a list of resources to help you get started on your quitting journey.

Effects of Smoking on Your Overall Health:

When people think of the negative effects of smoking, most people think of the big one: lung cancer. However, because smoking affects nearly every part of the body, it can be the culprit behind a laundry list of illnesses. According to the Center for Disease Control, for every person who dies because of smoking, at least 30 people live with a serious smoking-related illness. Let’s take a deeper look at what smoking does to the body:

Difficulty Breathing:

Smoking causes a range of respiratory problems. When you inhale cigarette smoke, it irritates your airways and causes inflammation, which can make it difficult to breathe. This leads to chronic coughing, wheezing, and shortness of breath. Over time, smoking often leads to chronic obstructive pulmonary disease (COPD), emphysema, and lung cancer.

Increased Anxiety and Depression:

Smoking can also have negative effects on your mental health. Studies have shown that smokers are more likely to experience anxiety and depression than non-smokers. Nicotine acts as a stimulant, increasing feelings of anxiety, while withdrawal symptoms lead to feelings of depression.

Increased Risk of Heart Attack:

Smoking is a major risk factor for heart attack. The chemicals in tobacco smoke damage your heart and blood vessels, leading to an increased risk of heart disease, heart attack, and stroke. In fact, smokers are twice as likely to have a heart attack as non-smokers.

Oxygen Deprivation of All Muscles:

When you smoke, the nicotine in tobacco causes your blood vessels to narrow, which restricts blood flow and oxygen to your body. This leads to oxygen deprivation in every single muscle of the body, which causes chronic fatigue, poor wound healing, and peripheral artery disease.

Effects of Smoking on Your Oral Health:

Yellowed Teeth:

One of the most visible effects of smoking on your oral health is yellowed teeth. The tar and nicotine in tobacco smoke will stain your teeth, giving them a yellow or brownish hue. This staining is usually unsightly and difficult to remove.

Dry Mouth:

Smoking also causes dry mouth, which occurs when there is a decrease in the production of saliva. Saliva plays an important role in keeping your mouth healthy by washing away food particles and neutralizing acids produced by bacteria. When you have a dry mouth, you are more susceptible to tooth decay and gum disease.

Receding Gums:

Smoking can also lead to receding gums, which is when the gum tissue around your teeth pulls back, exposing the roots of your teeth. This can cause tooth sensitivity, as well as an increased risk of tooth decay and tooth loss.

Increased Cavities and Tooth Loss:

Smoking also increases your risk of cavities and tooth loss. The chemicals in tobacco smoke can damage the enamel on your teeth, making them more susceptible to decay. Additionally, smoking can lead to gum disease, which is a major cause of tooth loss.

Oral Cancer:

Some of the chemicals contained in tobacco smoke and chewing tobacco are carcinogenic, meaning they cause genetic changes in cells of the mouth cavity and cause oral cancer. Regular dentist visits are a must if you’re worried about developing oral cancer, as Dr. Jeff Eggert or Dr. Elizabeth Eggert can provide thorough oral cancer screenings as a part of our proactive approach to dentistry.

In conclusion, smoking has a range of negative effects on your overall health and oral health. Quitting smoking is the best way to reduce your risk of developing these health problems and improve your overall well-being.

Why Quit?

Every smoker knows they should quit for the detrimental health risks. And yet every smoker wants to continue smoking. So, before we talk about quitting, it’s important that we first address why smokers smoke in the first place — or why they believe they have to smoke.

Smokers usually cite a number of reasons for why they smoke, including:

Stress: Smokers believe that smoking relieves stress or calms them down.
Boredom: Smokers believe that they smoke because they are bored.
Concentration: Smokers believe that smoking helps them concentrate.

Because they hold these beliefs about what smoking does for them, smokers are under the impression that quitting smoking would rob them of these supposed “benefits” of smoking. The wonderful truth is, smoking does none of these things for you.

Smoking doesn’t calm you down. In fact, it does quite the opposite. Nicotine is a known stimulant that raises your heart rate and blood pressure, causing increased stress and anxiety in both the short and long-term.

Smoking doesn’t relieve boredom. When smokers are bored, it’s true that they often light a cigarette. However, smoking cigarettes itself isn’t exciting. If you weren’t a smoker, chances are you’d find something else to do that would be significantly more entertaining than inhaling cigarette smoke for seven minutes.

Smoking doesn’t help you concentrate. Research confirms that smoking is terrible for your concentration. Having a nicotine addiction – or any addiction, for that matter – is incredibly distracting, and makes it much more difficult to concentrate on day-to-day tasks.

So, to the question “Why quit?” We answer:

To be free of nicotine addiction.
To experience a vastly improved bill of health.
And because smoking does nothing for you in the first place. You have nothing to lose!

Resources to Help You Get Started with Quitting Smoking

Allan Carr’s “EasyWay To Stop Smoking”: Developed by a former chainsmoker, this smoking cessation technique uses a combination of logic and psychology to break down all the reasons why smokers believe they need to smoke, and then explodes each myth one by one. (For example, our points in the above section were taken from Allan Carr’s work.) Carr’s method is available in print, as an audiobook, or in-person as a seminar.

National Cancer Institute Quitline: The National Cancer Institute provides a free smoking cessation hotline where people can receive counseling and support to quit smoking. The Quitline can be reached at 1-877-44U-QUIT (1-877-448-7848).

Smokefree.gov: Smokefree.gov is a website created by the U.S. Department of Health and Human Services that provides a range of resources to help people quit smoking, including a step-by-step quit guide, mobile apps, and text message support.

American Lung Association: The American Lung Association offers a range of resources to help people quit smoking, including online tools, support groups, and a free quit smoking helpline at 1-800-LUNGUSA (1-800-586-4872).

Your healthcare provider: Your healthcare provider can provide guidance on quitting smoking and may be able to prescribe medications or recommend other treatments to help you quit smoking.

Community resources: Many communities have resources to help people quit smoking, including local support groups, smoking cessation programs, and community health clinics. Check with your local health department or community center to find out what resources are available in your area.

Lean on The Experts at Eggert Family Dentistry

The negative health effects of smoking are vast and far-reaching, impacting both overall health and oral health. However, quitting smoking is the single most important step you can take to improve your health and wellbeing. If you or someone you know is struggling with smoking cessation, there are many resources available to help you on your journey.

At Eggert Family Dentistry, we are committed to helping our patients achieve optimal oral health. If you have questions or need assistance with smoking cessation, please don’t hesitate to reach out to us at 651-482-8412. Our team is here to support you on your journey to a healthier, smoke-free life!

Smoking Marijuana: 6 Oral Health Effects You Should Know

By: Dr. Elizabeth Eggert

Marijuana (AKA cannabis) is commonly used for both medicinal and recreational purposes. Just like other recreational drugs, such as alcohol, it’s important for patients to be aware of the potential negative health effects associated with the use of marijuana. With all the buzz lately about legalizing marijuana in Minnesota, we thought this topic very timely.

Because the majority marijuana users ingest it by smoking, one’s oral health can be significantly impacted by marijuana use. According to research, the negative oral health side-effects of smoking marijuana include:

Dry mouth, which can lead to a number of other oral health conditions.
Cavities and tooth decay because of appetite stimulation associated with use.
Gum disease has been linked to frequent marijuana use.
Oral Candidiasis (thrush) which causes redness, white plaque, and soreness inside the mouth.
Yellow teeth are a common side effect of smoking, whether it’s cannabis or tobacco.
Risk of oral cancer is increased in regular marijuana smokers.

At Eggert Family Dentistry, one of our top priorities is to educate our patients about their oral health. Here’s an in-depth look at the oral health effects of marijuana use.

1. Dry Mouth

Also known as xerostomia, smoking marijuana can cause dry mouth by decreasing the production of saliva. Saliva acts as a natural cleanser for your mouth, carrying antimicrobial agents that kill disease-causing bacteria. Without it, bacteria are allowed to flourish in the mouth, leading to a higher risk of tooth decay and gum disease.

2. Cavities

While dry mouth makes you more likely to experience tooth decay, appetite stimulation that marijuana users experience can also lead to an increased presence of cavities. Many cannabis users report that their consumption of high-sugar foods increases during cannabis use. This, in combination with a lack of saliva, creates the perfect environment for cavities to develop.

3. Gum Inflammation/Gum Disease

Any kind of smoke, marijuana or not, has the potential to irritate and inflame the gum tissue. Inflammation and irritation can contribute to gum disease, which is a serious oral health problem that causes tooth loss and other health complications. Gum disease can also be caused by the proliferation of bacteria that’s caused by dry mouth. It cannot be cured and requires regular treatment to manage.

4. Oral Candidiasis

Commonly known as Thrush, oral candidiasis is a fungal infection in the mouth caused by an increased production of yeast colonies. These colonies are normally present in the mouth, but the effects of cannabis in combination with poor oral hygiene can promote overgrowth. This results in redness, excess white plaque, and soreness inside the mouth.

5. Yellowed Teeth

Just like cigarette smoke, marijuana smoke contains tar and other chemicals that can adhere to the surface of the teeth, causing them to become discolored and yellow. A regular marijuana smoker may notice that these stains are difficult to remove with regular brushing and flossing. Patients may need professional whitening treatments to remove stains from marijuana smoke.

6. Oral Cancer

The link between oral cancer and marijuana smoke is still being debated and researched today. However, it has been reported that a synergistic effect between tobacco and cannabis smoke may increase oral and neck cancer risk for people who smoke both (that includes cigars that have been hollowed out and filled with cannabis).

Questions? Call Eggert Family Dentistry

Just like it’s important to be aware of the negative health effects of alcohol, so too must one be aware of the negative health effects of marijuana. If you’re a regular smoker, it is important to practice good oral hygiene and visit Eggert Family Dentistry regularly so that we can monitor your oral health. If you have questions about the oral health effects of marijuana smoking, or would like to make an appointment to have your oral health evaluated, please call us at 651-482-8412. We look forward to helping you take care of your oral health!

How Mandibular Advancement Appliances Can Improve Oral Health

By: Dr. Elizabeth Eggert

When you’re diagnosed with obstructive sleep apnea (OSA), your doctor may first prescribe CPAP therapy — you know, the face or nose mask attached to a machine that you have to wear at night. However, while CPAP therapy is extremely effective, many people can’t tolerate sleeping with it on every single night.

That’s why oral sleep appliances -– also known as mandibular advancement appliances — are also used to treat sleep apnea. In fact, they have an 80% compliance rate over the CPAP’s 40%.

We fit mandibular advancement appliances at Eggert Family Dentistry and have been able to help many people with OSA improve their sleep, oral health, and overall quality of life.

What is a Mandibular Advancement Appliance?

A mandibular advancement appliance (MAA) is a device that can be custom-fitted to a person’s mouth, and works by temporarily moving the jaw and tongue forward. This adjustment reduces throat constriction and opens up the airways, effectively preventing snoring and sleep apnea.

Benefits of Using a Mandibular Advancement Appliance

You probably already know that sleep apnea causes a myriad of health issues, most notably cardiovascular problems. But did you know that your sleep apnea also wreaks havoc on your dental health? People with sleep apnea also are more likely to experience TMD, bruxism, and dry mouth. Luckily MAAs can reduce and relieve each of these symptoms.

1. Relief from Tooth Grinding and Clenching

Many people who suffer from sleep-disordered breathing also grind their teeth or clench their jaw during sleep. This can lead to a host of dental problems, including tooth sensitivity, worn-down enamel, and even tooth fractures. MAAs can help alleviate these issues by positioning the lower jaw in a more forward position, which reduces the likelihood of grinding or clenching. The thought is that since the body can breathe better, the jaw doesn’t have to move around, trying to find the best position for air exchange.

2. Reducing Dry Mouth

People with OSA often sleep with their mouth open in an attempt to get more oxygen, which leads to dry mouth. Because saliva plays an important role in reducing the amount of plaque on your teeth, dry mouth can cause or accelerate tooth decay. Using an MAA will open up the airway and improve breathing, which will reduce the need to breathe through the mouth during sleep. This will reduce all dry mouth symptoms and keep tooth decay under better control by maintaining the proper amount of saliva in your mouth.

3. Reducing the Risk of Gum Disease

Gum disease is a common oral health problem that can lead to tooth loss if left untreated. People with sleep-disordered breathing are at an increased risk of developing gum disease, as the reduced oxygen flow to the gums can make them more susceptible to infection. By improving breathing and oxygen flow, MAAs can help reduce the risk of gum disease and promote overall oral health.

4. Improving Overall Sleep Quality and Quality of Life

Finally, the most important benefit of using an MAA is improved sleep quality, which can have a positive impact on your quality of life in general. Poor sleep quality has been linked to a range of health problems, and by improving breathing and reducing sleep disturbances, MAAs can help promote your overall health and wellbeing.

Want Better Sleep, Healthier Teeth, and a Higher Quality of Life?

If you have sleep apnea and would like to be fitted for a mandibular advancement appliance, Dr. Jeff Eggert or Dr. Elizabeth Eggert can help! After hearing from your medical doctor and doing an assessment of your bite, we can custom-design your device by taking impressions or digital scans of your mouth. Once the device is ready, we’ll ask you to come into our office for a fitting so we can make sure it’s comfortable and effective. Contact us or call us at 651-482-8412 today to schedule your mandibular advancement device consultation!

Sleep Apnea Treatments: Mandibular Advancement Appliances vs. Traditional CPAP Therapy

By: Dr. Elizabeth Eggert

Obstructive sleep apnea (OSA) is a common sleep disorder that affects 18 million people around the world. It is characterized by pauses in breathing during sleep, which can lead to snoring, daytime sleepiness, and other health problems.

There are several treatment options available for sleep apnea, but two of the most popular are Mandibular Advancement Appliances (MAAs) and Continuous Positive Airway Pressure (CPAP) therapy. While both of these treatments can be effective, they work in different ways and have different benefits.

Let’s explore the differences between MAAs and CPAP therapy and help you determine which treatment option may be best for your individual needs.

Sleep Apnea Treatment Options

First, let’s take a look at all of the treatment options that patients are given when first diagnosed with OSA:

Lifestyle changes: Losing weight, quitting smoking, avoiding alcohol and sedatives, and sleeping on your side may be recommended to improve sleep apnea symptoms.
Oral appliance therapy: This involves wearing a mouthguard-like device (like an MAA) that helps to reposition the tongue and jaw to keep the airway open during sleep.
Continuous Positive Airway Pressure (CPAP) therapy: CPAP therapy involves wearing a mask at night that is attached to a machine. This machine delivers air pressure to keep the airway open during sleep.
Surgery: In some cases, surgery may be recommended to remove excess tissue in the throat or to reposition the jaw.

You and your doctor will be able to review your unique situation to determine which of these solutions is right for you.

While lifestyle changes can treat more mild cases of sleep apnea, they won’t be able to completely relieve symptoms of more severe cases. On the opposite end of the spectrum is surgery: this sleep apnea treatment is usually saved for the most severe cases of OSA.

The middle ground, then, is where Continuous Positive Airway Pressure (CPAP) therapy and Mandibular Advancement Appliances (MAAs) lie. These are the most popular treatment options among people with sleep apnea. While both treatments can be effective treatment options, they work in different ways and have different benefits.

Benefits of CPAP Therapy

Continuous Positive Airway Pressure (CPAP) therapy is:

Highly effective: CPAP therapy is considered the most effective non-surgical treatment option for sleep apnea.
Produces immediate results: CPAP therapy can provide immediate relief from symptoms of sleep apnea, such as snoring and daytime sleepiness.
Can be used for any level of sleep apnea: CPAP therapy can be used to treat all levels of sleep apnea, from mild to severe.
Helps improve overall health: CPAP therapy can help improve blood pressure, reduce the risk of heart disease and stroke, and improve overall quality of life.

However, because of the cumbersome nature of the CPAP machine, many people have a difficult time sticking to it over an extended period of time. It’s also difficult to travel with so many people don’t use their CPAP machine during vacations or trips.

Benefits of Mandibular Advancement Appliances

While CPAP therapy is extremely effective, many people can’t tolerate sleeping with the discomfort of the face or nose mask night after night. That’s where Mandibular Advancement Appliances (MAAs) come in: MAAs have an 80% compliance rate over the CPAP’s 40% compliance rate.

In addition to being easier to stick to as a treatment modality, Mandibular Advancement Appliances are:

Comfortable: MAAs are often more comfortable to wear than CPAP masks, as they are custom-made to fit the patient’s mouth.
Portable: MAAs are small and easy to travel with, making them a convenient treatment option.
Non-invasive: MAAs do not require surgery and can be easily adjusted by Dr. Jeff Eggert or Dr. Elizabeth Eggert.
Effective for mild to moderate sleep apnea: MAAs are often recommended for individuals with mild to moderate sleep apnea who are unable to tolerate CPAP therapy.

Ultimately, the best treatment option for sleep apnea will depend on your specific needs and preferences. Your doctor can help determine the most appropriate treatment option based on the severity of your condition, medical history, and other factors.

Think You Could Benefit from a Mandibular Advancement Appliance?

At Eggert Family Dentistry, we custom-fit mandibular advancement devices for patients with Obstructive Sleep Apnea or other Sleep Related Breathing Disorders. Call us today at 651-482-8412 to schedule a consultation during which Dr. Jeff Eggert or Dr. Elizabeth Eggert can discuss this treatment option with you and answer any questions you may have. Once we’ve decided an MAA is right for you, we can custom-design your device and then calibrate the finished product to make sure it’s comfortable and effective. Contact us to schedule your appointment today!

Treating Sleep-Disordered Breathing: 4 Benefits of the Seattle Protocol

By: Dr. Elizabeth Eggert

Some patients who come to us with chronic dental problems also present airway patency issues. Simply put, airway patency is the ability of a person to breathe, with airflow passing to and from the respiratory system through the oral and nasal passages.

When a person experiences difficulty breathing, especially at night, this can 1) negatively affect one’s oral health, and 2) continue to damage the teeth even after restorative dental procedures have been completed.

So, what does that mean for patients of Eggert Family Dentistry? It means that before beginning any restorative dental treatment, we need to identify and address these airway patency issues using a process called the Seattle Protocol.

The Seattle Protocol

Each of the six steps builds upon the last to open the airway as much as possible, but patients don’t necessarily need to complete the entire process to identify the solution. The purpose of the protocol is to determine which step provides the patient the most relief of symptoms.

Here is a brief description of the six steps of the Seattle Protocol:

Nose Breathing and Mouth Taping: During this stage, you will gently train your body to breathe through your nose, not your mouth.
Temporary Splint for Lower Jaw and Mouth Taping: Once you’ve adjusted to the mouth taping, the second step of the protocol adds a temporary splint for your lower jaw while you sleep.
Temporary Splint for Lower Jaw with Lower Jaw Pulled Forward and Mouth Taping: If adding the lower splint only isn’t giving you the restful sleep you deserve, we add an element that pulls your lower jaw forward.
Temporary Splint for Lower and Upper Jaw with Mouth Taping: If you aren’t getting relief from the previous step, we remove the forward jaw posturing component and add a splint for your upper jaw.
Temporary Splint for Lower and Upper Jaw with Lower Jaw Pulled Forward and Mouth Taping: If you need to continue in the protocol, step five again adds a horizontal component by linking the upper and lower splints together and moving the lower jaw forward.
Temporary Splint for Lower and Upper Jaw with Lower Jaw Progressively Pulled Forward and Mouth Taping: If you still aren’t getting that good night’s sleep, we move to the final stage of the Seattle Protocol. In this stage, we keep moving your lower jaw forward, incrementally, until you feel well-rested.

As we said before, the goal of the Seattle Protocol is to open the airways as much as possible so that your breathing is no longer restricted. You can find a full description of each of the six steps here.

The Benefits of the Seattle Protocol

The main benefit of the Seattle Protocol is to determine a good position to help control your sleep-disordered breathing. However, the Seattle Protocol also comes with a host of other positive benefits for our patients.

Improved safety: The Seattle Protocol prioritizes patient safety by allowing us to take a systematic and collaborative approach to airway management. By following a standardized protocol, Dr. Jeff Eggert or Dr. Elizabeth Eggert can identify and address airway issues quickly and effectively, minimizing the risk of complications during dental procedures. It is also completely reversible so there are no long-term ill-effects.

Increased comfort: The Seattle Protocol takes a gradual and gentle approach to airway management to maximize patient comfort by introducing interventions slowly and adjusting them as needed. More importantly, when the Seattle Protocol is successful, our patients can finally enjoy a comfortable night’s sleep!

Better outcomes: By identifying and addressing airway issues before beginning any dental restorations, the Seattle Protocol ensures that our patients can maintain their new smiles for as long as possible, without any complications. This will not only help our patients recover more quickly but also ensure that they get the most out of their financial investment.

Personalized care: The Seattle Protocol is designed to be flexible and adaptable to the individual needs of each patient. By tailoring interventions to each patient’s unique situation, we can provide the solution that’s right for you.

At Eggert Family Dentistry, the Seattle Protocol assists us in treating our patients with airway patency issues or sleep-disordered breathing. The systematic steps allow us to both address the problem and identify the solution so our patients can receive the best possible care during dental procedures, and achieve the best possible outcomes afterward!

Real Results: Tom’s Story

One of our patients, Tom, came to us with excessive wear, erosion, and many fractured teeth. Tom needed to reconstruct his mouth and we did that in phases, however, during the process we ran into a few complications:

The force of Tom’s bite was so strong that he broke many temporary crowns. Dr. Elizabeth Eggert wanted to get down to the bottom of why Tom’s body would do this because even new crowns wouldn’t survive in such a harsh environment.

Given Tom’s other symptoms, including difficulty breathing through his nose, dry mouth, and the use of a CPAP machine, Dr. Elizabeth Eggert recommended Tom complete the Seattle Protocol to help address his airway patency.

After completing five of the six steps of the Seattle Protocol, Dr. Elizabeth Eggert fabricated a sleep appliance for Tom to continue to improve his airway patency, reduce his bruxism and help him sleep better. After just a month of using his sleep appliance, Tom experienced less clenching, jaw pain, and an overall improvement in his sleep!

Think You Could Benefit from the Seattle Protocol?

If you, too, are experiencing airway patency issues or sleep-disordered breathing, call our office today to schedule a consultation. At Eggert Family Dentistry, Dr. Jeff Eggert or Dr. Elizabeth Eggert will be able to collaborate with you on finding a solution to your unique situation. If you think you could benefit from the Seattle Protocol, contact us or call us at 651-482-8412 for a consultation today!

The Seattle Protocol – Tom’s Story

By: Dr. Elizabeth Eggert

How Did This Start?

Tom’s journey began in 2014 when he came to us as a new patient looking to improve his oral health and the appearance of his teeth. During his comprehensive exam, Dr. Elizabeth found the main areas of concern to be the excessive wear, erosion and fracturing of Tom’s teeth. Dr. Elizabeth recommended Tom go through the records process (you can learn more about the records process here) and based on the information gathered during that process, she recommended a full-mouth reconstruction to address his uneven bite and rebuild his broken teeth. Throughout the process of reconstruction, it became clear that the amount of force in Tom’s bite was putting too much pressure on even his temporary crowns, which resulted in the temporaries cracking or falling out on more than one occasion. Dr. Elizabeth was concerned that even after completing the full mouth reconstruction, Tom would have underlying issues. Given Tom’s other symptoms, including difficulty breathing through his nose, dry mouth and use of a CPAP machine, Dr. Elizabeth recommended Tom complete the Seattle Protocol to help address his airway patency.

What Was Involved?

The Seattle Protocol is a six-step process that helps patients with symptoms of sleep-disordered breathing and other conditions determine whether a compromised airway is contributing to their ailments. Each step builds upon the last, but patients don’t necessarily need to complete the entire process as the purpose of the protocol is to determine the phase that provides the best relief of symptoms. You can learn more about the Seattle Protocol and each of the steps here. Throughout the process, Tom noticed improvements in his symptoms such as dry mouth, decreased clenching and grinding, and less waking throughout the night.

What Have Tom’s Results Been?

After completing five of the six steps of the Seattle Protocol, Dr. Elizabeth fabricated a sleep appliance for Tom to continue to improve his airway patency, reduce his bruxism and help him sleep better. Tom has now been using his sleep appliance for over a month and says the results so far have been great! He’s noticed less clenching and jaw pain and experienced an overall improvement in his sleep. Tom said that going through the Seattle Protocol helped him better understand the connection between his sleep and airway issues and he appreciates Dr. Elizabeth’s thorough explanation and care throughout each stage.

What is the Seattle Protocol and How Does it Help Pinpoint Airway Obstructions?

By: Dr. Elizabeth Eggert

When a patient with symptoms of airway issues first comes into our office, we often recommend the Seattle Protocol. This six-step method helps us identify where the issue lies by pinpointing which jaw positioning alleviates our patient’s symptoms. This allows us to create a custom night appliance for our patient that opens up their airway and curbs any inflammation or damage to the teeth, jaws or soft tissue. It also helps ward off serious systemic issues like high blood pressure, stroke or heart attack.

Before you embark on the Seattle Protocol, we may suggest an at-home sleep quality screening device or a sleep study so we solidify our starting point.

Seattle Protocol Step 1: Nose Breathing and Mouth Taping

The first step in the Seattle Protocol is to gently train your body to breathe through your nose, not your mouth. Breathing through your mouth during sleep can lead to snoring and a dry mouth. The Seattle Protocol encourages nose breathing by adding a strip of paper tape vertically across the center of your lips. The light adhesive of the tape keeps your lips together but is easy and painless to remove.

Step 2: Temporary Splint for Lower Jaw and Mouth Taping

Once you’ve adjusted to the mouth taping, the second step of the protocol adds a temporary splint for your lower jaw while you sleep. Adding this splint increases the vertical dimension of your jaw and allows more airway space.

Step 3: Temporary Splint for Lower Jaw with Lower Jaw Pulled Forward and Mouth Taping

If adding the lower splint only isn’t giving you the restful sleep you deserve, we move onto the next stage of the protocol. In this step, we add an element that pulls your lower jaw forward. This realigns your jaw and increases your airway space not only vertically, but horizontally as well. This also can give your tongue more of the space it requires.

Step 4: Temporary Splint for Lower and Upper Jaw with Mouth Taping

With all steps of the Seattle Protocol, if you aren’t getting relief from the previous step, we move on. In this step, we remove the forward jaw posturing component and add a splint for your upper jaw. You then go to sleep with splints on your upper and lower teeth and your jaw is free to move. This stage allows for additional vertical height, opening up your airway, but without restricting the jaw muscles into any one strict position.

Step 5: Temporary Splint for Lower and Upper Jaw with Lower Jaw Pulled Forward and Mouth Taping

If you need to continue in the protocol, step five again adds a horizontal component by linking the upper and lower splints together and moving the lower jaw forward. The intent, as always, is to continue to open your airway more and more.

Step 6: Temporary Splint for Lower and Upper Jaw with Lower Jaw Progressively Pulled Forward and Mouth Taping

If you still aren’t getting that good night’s sleep, we move to the final stage of the Seattle Protocol. In this stage, we keep moving your lower jaw forward, incrementally, until you feel well-rested.

In summary, after the initial two weeks of nasal breathing therapy and sleeping for 2-3 nights with each temporary night guard, once you experience relief of symptoms, we stop the protocol. This helps us identify which splint appliance/positioning alleviates the airway obstruction and allows us to fabricate your custom night appliance.

The further you progress through the steps in the protocol, the more severe your obstruction. If you progress into steps 4, 5 or 6, we may discuss the possibility of oral surgery to help you achieve optimal results.

If you’re concerned that you or your loved ones are dealing with sleep-disordered breathing, schedule an appointment with Dr. Elizabeth or Dr. Jeff by calling our office at 651.482.8412. Both Dr. Elizabeth and Dr. Jeff have the knowledge and experience to walk you through the Seattle Protocol and the best next steps.

Your healthy future starts today.

Confused by the Process? Learn How Sleep Apnea is Diagnosed

By Dr. Elizabeth Eggert

Do you deal with snoring, gasping for air in your sleep, a dry mouth, headache in the morning or daytime fatigue? Sleep apnea could be the culprit. It’s important to begin by making an appointment with Dr. Elizabeth or Dr. Jeff as well as with your primary care physician. Sleep apnea can be life-threatening and should always be carefully investigated.

The first time we see you for sleep apnea symptoms, we will perform an assessment for signs of structural abnormalities or any physical issues that could be contributing to airway obstruction. This could include an enlarged tongue or tonsils, a small jaw or a large neck.

If your primary care doctor is concerned that sleep apnea is an issue for you, they will refer you to a sleep specialist. A board-certified sleep specialist will evaluate you by performing an overnight sleep study. This will give them more insight into the severity of the situation and help them determine the best course of treatment.

There are two different types of sleep studies your sleep specialist may recommend: a polysomnogram test or a home sleep apnea test.

Polysomnogram test:

A polysomnogram test is a sleep study, performed in a sleep lab, that helps diagnose sleep-related conditions.

During your night at the sleep lab, you will be hooked up to equipment that will monitor your heart, lungs and breathing patterns, brain, general movement and oxygen levels while you sleep. In some cases, your sleep specialist will let you sleep all night long. If your physician detects signs of sleep apnea, they will more than likely wake you up in the night and hook you up to continuous positive airway pressure, or CPAP. A CPAP machine has a mask that covers the nose and/or mouth, that is connected to a tube and the base of the machine and that delivers continuous air pressure all night long, allowing the airway to remain open.

When your sleep specialist tests the CPAP machine on you, they will watch how it improves your airway obstruction and will calibrate it for your specific needs.

Home sleep apnea test:

In some cases, your sleep specialist will give you an at-home sleep apnea test kit that monitors and tests breathing patterns and sleep disturbances. This can be a good solution for individuals who find the polysomnogram test cost-prohibitive or difficult to coordinate. However, if sleep apnea is suspected from the results of your home test, your doctor may still recommend a visit to the sleep lab for further testing.

After you receive your results from your sleep specialist, if they indicate the presence of sleep apnea, we recommend you contact our office to set up another appointment. At this appointment, Dr. Elizabeth or Dr. Jeff will walk you through our records process.

During this comprehensive analysis, they will determine if a sleep apnea appliance would help alleviate your symptoms of sleep apnea. If they decide it would be helpful, Dr. Elizabeth or Dr. Jeff will confer with your general practitioner, sleep physician and lab to design a sleep apnea appliance, custom fit for you, that supports your jaw in the position that best improves your airway, often a forward position.

We may also recommend that you adjust your sleeping positioning or we may refer you to an orthodontist for another consultation if we believe that braces or other orthodontic treatment could help better keep your airway open.

If you’re experiencing sleep apnea symptoms, reach out to us at 651.482.8412 to make an appointment with Dr. Elizabeth or Dr. Jeff. They will perform a thorough assessment and collaborate with your other physician(s) to find the best treatment plan for you.